The 130th Annual Meeting of APHA

3034.0: Monday, November 11, 2002 - Board 9

Abstract #47171

Patterns of self-rated health, activity limitation, and health-related quality of life among older adults

David G. Moriarty, BSEE and Matthew M. Zack, MD, MPH. Health Care and Aging Studies Branch, Centers for Disease Control and Prevention, 4770 Buford Highway, N.E, Mailstop K-45, CDC/NCCDPHP/DACH, Atlanta, GA 30341, 770 488-5455, DMoriarty@cdc.gov

Healthy People 2010 describes a national prevention strategy to improve the quality and years of healthy life and eliminate health disparities in the U.S. population—including older adults who suffer a disproportionate amount of illness burden. To track their overall progress toward reaching these goals, states and communities need valid, practical, and comparable health indicators and summary measures. Measures of self-rated health, activity limitations, and health-related quality of life (HRQOL) are often used to assess overall populations—sometimes in combination with life-expectancy estimates—but their similarities and differences are not often studied among older adults. During 1995-2000 in the Behavioral Risk Factor Surveillance System (BRFSS), more than 55,000 adults aged 55 years and older in 29 states responded to questions about self-rated health, activity limitation, and a set of Healthy Days HRQOL measures that asked about recent days of impaired physical health, mental health, activity limitation, pain, depression, anxiety, sleeplessness, and vitality. Overall, 26% of these older adults reported fair or poor self-rated health and 26% reported a current activity limitation (about one-third of this group needed assistance with routine care). HRQOL differed substantially by reported heath status, activity limitation, socioeconomic, and demographic status. Those with good-to-excellent health and no current limitation (61% of respondents) reported an average of only 2.5 unhealthy days over the previous 30 days, while those with fair or poor health and an activity limitation (15%) reported 19.4 days. Results will help identify how best to track elder population health and identify health disparities.

Learning Objectives: At the conclusion of this presentation, the participant will be able to

Keywords: Community Health Assessment, Outcome Measures

Related Web page: www.cdc.gov/nccdphp/hrqol

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

Clinical Issues and Quality of Life

The 130th Annual Meeting of APHA